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APPLICATION FOR ELECTRICAL PERMIT <br /> � �� <br /> ��� everefit <br /> H � N BUILDING DEPARTMENT <br /> �y � 259•8810 <br /> �H'O <br /> UJ H <br /> � �� /��r5 , C��.r,'� ao�G'3 ��e���cx.�J ave �Ue��� <br /> O M � nner Ma tlaress ity p hone <br /> ��n �CG4�e b� <br /> H enant (�� y� ai tl resT� �L tr �ip nc <br /> � y� e �Y�.'s �"/��� � 7a i aso '�s1�1 /+l,cPl, 5�,�u���,�� le��s` ��'a 9.� <br /> p.� y � ec[nca ontrpctor Mai drcss �ty ip hone icense C <br /> g`�H �C 6 3 , `x' R�s, etin�/EP�a,s-��y <br /> � d y ontract rice o or roposcd sc o ui ing — <br /> �� aao3 ��kN �el o� a�e <br /> y � y ro�ec�L d�ss <br /> iscription o Work o e onc: <br /> ! _ �op /��Hp Se,���'ce e�t� �� <br /> � �-' <br /> � � ' NOTE: WAC 296-46-740 REOUIRES THAT PLAIVS FOR ELECTRICAL WORI; AT EDUCATIONAL, INSTITUTIONAL OR HEALTH CARE FACILITIES <br /> BE APPROVED OY THE STATE OF WAShIINGTON. APPLICANTS WITH SUCH J0�5 HUST SHOW THE STATE APPRGVED PLANS BEFORE A . <br /> CITY OF EVERETT PERM17 'NILL BE ISSUED. <br /> i �1 ' NOiE: WIRING IN NON-DWELLINGS IS REpUIRED 70 DE IN METAL RACEWA';S. <br /> � <br /> ,���� <br /> �_ I HEREBY CERTIFY THAT I HqVE READ AND EXAMINED THIS � ' <br /> APPLIGATION AND KNOW THE SAME TO BE TRUE AND CORRECT.ALL ��) <br /> PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TVPE OF , <br /> WORK WILL BE COMPLETED WITH WHETHER SPECIFIED HEREIN OR <br /> •_t�1 NOT. THE GRANTING OF A PEIiMIT DOES NOT PRESUME TO GIVE <br /> AUTHORITV TO VIOLATE OR CANCEL THE PROVISIONS OF ANY <br /> �'� OTHER STATE OR LOCAL U1W REGULATING CONSiRUCT10N OR THE <br /> _ _ � PERFORMANCE OF CONSTRUCTION.THAT I AM AUTHORIZED BY THE ' � � <br /> OWNER OF THIS PROPERTY TO PEFFORM THE WORK FOR WHICH FEE � 1�j � <br /> APPLI ON IS MADE AND � COMPLY WITH THE STATE <br /> CONTR CT RS LAW 1827 RCW AND 296.200 WAC. ��. <br /> X Cl�t�/L��� tc/A. / (j'—�:'� �. <br /> Signature Date <br />